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+--- Thread: [Equipment] Longtime BiPAP w/ centrals needs new machine advice (/Thread-Equipment-Longtime-BiPAP-w-centrals-needs-new-machine-advice)
RE: Longtime BiPAP w/ centrals needs new machine advice - staceyburke - 10-26-2020
On almost all reports the ResMed is a better machine and reduces AHI in almost all that we see here. Some members do not like the quick response and prefer the Phillips but again most find out just what you have witnessed.
RE: Longtime BiPAP w/ centrals needs new machine advice - SarcasticDave94 - 10-26-2020
The Respironics has older algorithm than the ResMed. And the DreamStation has nearly identical algorithm as machines 2 or so generations old. ResMed is targeting different parameters that are more effective for therapy and comfort, and with newer algorithms to control it.
RE: Longtime BiPAP w/ centrals needs new machine advice - jaswilliams - 10-27-2020
The Resmed ASV is generally leaps and bonds better than the Philips these numbers should become normal for you well done I hope the rest of your life settled down so you can enjoy your new machine
RE: Longtime BiPAP w/ centrals needs new machine advice - memeuro - 10-27-2020
Honestly I just cannot tell you how grateful I am to all of you and for the sterling advice I received. I am so happy with my purchase and really look forward to getting to rest.
Thank you so much again from the bottom of my heart.
Take care.
RE: Longtime BiPAP w/ centrals needs new machine advice - Sleeprider - 10-27-2020
Well I guess you can change your profile to Resmed Aircurve 10 ASV now. I'm surprised at how busy the ASV is. Nearly every breath is assisted with pressure support, with a median PS of 7.0 cm. Based on that, I am going to suggest you increase the PS min from 3.0 to 4.0 for now, and I think you should try changing it in 1-cm increments until you reach 6.0 cm. That may increase your comfort and the machine response time. The objective here is to find what "feels" best to you, so keep notes and give the increased PS a trial, then decide where it should be.
RE: Longtime BiPAP w/ centrals needs new machine advice - SarcasticDave94 - 10-27-2020
My ASV was pretty busy as well with treatment needs, so it can be expected. As long as therapy is doing well and with comfort, so be it. I am CA very heavy if untreated, and I had great results with edits to EPAP Min/Max and leaving PS at/near titration start levels at 3-15. I did try PS Min 4 and it was noticeably different in feeling a hit when PS did its part.
Edit however you need to in order to get best balance of comfort and therapy results. Your ASV should tackle all things apnea however. Congrats on success.
RE: Longtime BiPAP w/ centrals needs new machine advice - memeuro - 10-31-2020
Wow! Thank you for such a detailed response. I will try your suggested changes and make notes in my sleep diary.
Thanks again.
RE: Longtime BiPAP w/ centrals needs new machine advice - memeuro - 11-10-2020
Guys - I think I had a bad night. I have been really really sleepy all day and am crashing early.
Can someone please look at my graph from last night please?
I did change the PS Min to 4.0 but that was over a week ago.
Something happened at 03:30 to 04:30 and I don't know what.
It has me a little worried to be honest.
Is this something that can be explained?
Thanks guys.
RE: Longtime BiPAP w/ centrals needs new machine advice - staceyburke - 11-10-2020
Looks like chin tucking. We’re you on your back? Even if you were on your side you can tuck your chin.
RE: Longtime BiPAP w/ centrals needs new machine advice - SarcasticDave94 - 11-11-2020
Yeah that sure does look like a chin tuck/positional apnea issue. Do you have a soft collar you're using? Read this wiki and consider getting a collar.
http://www.apneaboard.com/wiki/index.php/Soft_Cervical_Collar